We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns.
- Authors
de Jong, Alette E. E.; Tuinebreijer, Wim E.; Hofland, Helma W. C.; Van Loey, Nancy E. E.
- Abstract
Pain in critically ill adults with burns should be assessed using structured pain behavioural observation measures. This study tested the clinimetric qualities and usability of the behaviour pain scale (BPS) and the critical-care pain observation tool (CPOT) in this population. This prospective observational cohort study included 132 nurses who rated pain behaviour in 75 patients. The majority of nurses indicated that BPS and CPOT reflect background and procedural pain-specific features (63–72 and 87–80%, respectively). All BPS and CPOT items loaded on one latent variable (≥0.70), except for compliance ventilator and vocalisation for CPOT (0.69 and 0.64, respectively). Internal consistency also met the criterion of ≥0.70 in ventilated and non-ventilated patients for both scales, except for non-ventilated patients observed by BPS (0.67). Intraclass correlation coefficients (ICCs) of total scores were sufficient (≥0.70), but decreased when patients had facial burns. In general, the scales were fast to administer and easy to understand. Cut-off scores for BPS and CPOT were 4 and 1, respectively. In conclusion, both scales seem valid, reliable, and useful for the measurement of acute pain in ICU patients with burns, including patients with facial burns. Cut-off scores associated with BPS and CPOT for the burn population allow professionals to connect total scores to person-centred treatment protocols.
- Subjects
NETHERLANDS; PAIN measurement; MULTITRAIT multimethod techniques; CRITICALLY ill; PATIENTS; BURNS &; scalds; RESEARCH funding; DATA analysis; CRONBACH'S alpha; RESEARCH methodology evaluation; RESEARCH evaluation; SCIENTIFIC observation; QUESTIONNAIRES; DESCRIPTIVE statistics; SURGICAL complications; LONGITUDINAL method; BURN patients; INTENSIVE care units; PAIN; RESEARCH; INTRACLASS correlation; RESEARCH methodology; STATISTICS; COMPARATIVE studies; FACTOR analysis; CONFIDENCE intervals; DATA analysis software; RELIABILITY (Personality trait); CRITICAL care nurses; MECHANICAL ventilators; INTER-observer reliability
- Publication
European Burn Journal (EBJ), 2024, Vol 5, Issue 2, p187
- ISSN
2673-1991
- Publication type
Article
- DOI
10.3390/ebj5020018